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General NPI Number Information
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NPI Number | 1386450328
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Entity Type | Organization
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Legal Business Name | LG MERIT MEDICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 3084 STATE ROUTE 27 STE 9
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City | KENDALL PARK
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State | NJ
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Zip | 08824-1657
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Country | US
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Telephone | 732-297-4321
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Fax | 732-297-2202
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Provider Business Mailing Address
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Address Line | 3084 STATE ROUTE 27 STE 9
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City | KENDALL PARK
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State | NJ
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Zip | 08824-1657
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Country | US
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Telephone | 732-297-4321
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Fax | 732-297-2202
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Authorized Official
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Title or Position | OWNER
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Name | DR. LINGPING GU
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Credential | MD
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Telephone | 732-297-4321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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